Provider Demographics
NPI:1518238831
Name:THAKKAR ANESTHESIA ASSOCIATES PA
Entity Type:Organization
Organization Name:THAKKAR ANESTHESIA ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TARLIKA
Authorized Official - Middle Name:V
Authorized Official - Last Name:THAKIKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-385-5129
Mailing Address - Street 1:3581 S HIGHLANDS AVE
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-5410
Mailing Address - Country:US
Mailing Address - Phone:863-385-5129
Mailing Address - Fax:863-385-7162
Practice Address - Street 1:3581 S HIGHLANDS AVE
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-5410
Practice Address - Country:US
Practice Address - Phone:863-385-5129
Practice Address - Fax:863-385-7162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME37437207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty